Camille Gerstbauer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06003634A Issued in IN

Practice address

7950 N Shadeland Ave
Indianapolis, IN 46250-2691

Phone

(317) 849-3517

Fax

(317) 849-6397

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1427204312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502691",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502691",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTBAUER",
        "first_name": "CAMILLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003634A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Germeroth, DO
• Wilfredo A Geronimo, PT
• Daniel Edward Gerow
• Olivia Rae Gershman, DDS
• Leanna-Marie S Gershuni, MD
• Erica Madeline Gerstbauer
• Michael Joseph Gerstbauer, D.D.S.
• David Gerstein, M.D.
• Joshua Gerstein
• Addison Gerth

• Physical Therapy Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.